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DLIFLC Form 220 Transcript Request 21FEB13

This document is a transcript request form for the Defense Language Institute Foreign Language Center (DLIFLC). It requests the student's personal information such as name, Social Security Number, address, email, language programs completed and graduation dates. The student can request transcripts be sent to multiple addresses and can request a copy for themselves. The completed form should be signed and sent to the DLIFLC Registrar's Office for processing, and transcripts will be mailed, emailed or faxed within 8-10 business days.

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kiltedmadman
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530 views

DLIFLC Form 220 Transcript Request 21FEB13

This document is a transcript request form for the Defense Language Institute Foreign Language Center (DLIFLC). It requests the student's personal information such as name, Social Security Number, address, email, language programs completed and graduation dates. The student can request transcripts be sent to multiple addresses and can request a copy for themselves. The completed form should be signed and sent to the DLIFLC Registrar's Office for processing, and transcripts will be mailed, emailed or faxed within 8-10 business days.

Uploaded by

kiltedmadman
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as PDF, TXT or read online on Scribd
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DLIFLC FORM 220

Official Transcript Request

FOR DLPT/OPI ACE CREDIT USE DLIFLC FORM 420

Date:

Please print legibly

Last Name,

First,

MI

Maiden/Other Name(s):

**SSN:

Mailing Address:
NUMBER

STREET

CITY

STATE

ZIP

Current E-Mail:
Program(s):*
Language: _______________

Check language program:

Graduation/Attendance date: _______

Basic
Intermediate
Advanced
Other: _____________________

Language: _______________

Check language program:

Graduation/Attendance date: _______

Basic
Intermediate
Advanced
Other:_____________________

Check school branch:


West Coast (DLIFLC)
East Coast (Washington)
Lackland
Other: ____________________

Check school branch:


West Coast (DLIFLC)
East Coast (Washington)
Lackland
Other: ___________________

AA Degree: __________________
(Date)

Send transcripts to: (Please provide complete name and address. You may also add requests for faxed/emailed/sealed copies)
______________________________________________

______________________________________________

______________________________________________

______________________________________________

______________________________________________

______________________________________________

______________________________________________

______________________________________________

______________________________________________

______________________________________________

______________________________________________

______________________________________________

______________________________________________

______________________________________________

______________________________________________

______________________________________________

To receive a student copy, please check box


Upon completion, forward by mail, fax, or email to:
Defense Language Institute Foreign Language Center
Attn: ATFL-APO-AR (Registrars Office)
Presidio of Monterey, CA 93944-5006
TEL: 831-242-6455/DSN 768-6455
FAX: 831-242-5146/DSN 768-5146
WEB: www.dliflc.edu
EMAIL: [email protected]

Please allow 8-10 business days for processing.

Signature Required (can not be e-signed):

(FOR DLPT/OPI ACE CREDIT USE FORM 420)

* Transcripts consist of all resident courses and degrees earned at DLIFLC.


**Privacy Act Statement: This information is solicited by authority of Title 10, USC 3012 and Executive Order 9397. SSN is used as the personal
identifier in locating your training record. Personal information provided will be used to properly respond to your request for transcripts. Failure to
provide this information could result in the inability of DLIFLC to respond to your request. IAW Army Regulation 37-30, Para 3-8, there is no fee for
this service. DLIFLC FORM 220, REV 1 January 2013 Replaces 25 January 2011 Edition.

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